Comerford, Matthew S

Comerford, Matthew S is an individual health care provider with primary practice located at 4119 W Shamrock Ln , Mchenry IL 60050-8268. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Comerford, Matthew S can be contacted via phone (815) 398-9491.

Contact Information

Primary practice address
4119 W Shamrock Ln Mchenry IL 60050-8268
Phone: (815) 398-9491
Fax: (815) 381-7498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070013166 Illinois

Profile Details

NPI number 1790868966
LBN Legal business name Comerford, Matthew S
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Sep 15th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790868966 NPPES
Illinois Other 0034940583 BCBS

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